Multiple Drug-resistant Infection Of Respiratory System Diseases' Observation On TCM Syndrome And Risk Factors

Objective: This paper systematically reviewed the 50 cases of multiple drug-resistant infections and 50 cases of non-multiple drug-resistant infections of respiratory system diseases, to explore traditional Chinese medicine in patients with multiple drug-resistant infection in the distribution of syndromes characterized by research and development of an objective, standardized multiple-resistant infection drug card combination of TCM syndrome diagnosis and efficacy evaluation criteria based on clinical research.Method: Choice of 50 cases of multiple drug-resistant cases of infection and the establishment of the control group, according to multiple drug-resistant infections in patients with age group, select a considerable age and bacterial culture of sputum-positive 50 cases of infection in patients with non-multi-drug resistant cases, the collection of clinical data, including age, sex, underlying diseases, clinical diagnosis, to move into sections, previous antibiotic usage, the application of immunosuppressive agents and related inspection results.Results: 1. entirety condition:at the death rate, the incidence of coma,time in hospital, the incidence of hospital infection and the number of basic illness, especially the tumor and cerebrovascular disease, antibiotic-resistant bacilli Pneumonia is more than negative Sputum Culture of Pneumonia of the Elderly. Comparing the 2 groups, all of the above results were significant in statistics.2. The core pathogens of HAP in our hospital are Pseudomonas aeruginosa, Acinetobact-er baumanii, Klebsiella pneumonia, Enterococcus and MRSA. Non-fermenters and drug resistant pathogens isolation rate were higher,prolongation of hospital stay, the broad-spectrum antibiotics, and severe HAP were risk factors for drug resistant bacteri.3. Syndrome characters: the Evidence-base, multi-resistant pulmonary resistance group to phlegm, Phlegm Phlegm, thermal subsidence Pericardium Syndromes three most important symptoms, by rank sum test compared with the control group were statistically significant, P<0.05; The control group in order to heat-type symptoms Yu Lung most by rank sum test, and multi-resistant group were statistically significant, P<0.05; Ling drinking water heart, God obsessed fans sputum Syndromes two groups showed no differences, P>0.05。Is false, the more resistant group to spleen and kidney deficiency, kidney-yin deficiency of liver, lung and kidney deficiency symptoms of the three most important evidence-based, rank sum test, as compared with the control group were statistically significant, P<0.05; Kidney Yang Deficiency Heart is no difference between the two groups of P>0.05. Actual situation of multi-resistant Group inclusions, most of the control group evidence.Conclusion:1. Respiratory infections with multiple drug-resistant severe, long-duration, high mortality, the combined basis of the characteristics of disease and more. The main pathogen is Pseudomonas aeruginosa, Acinetobacter baumannii, Staphylococcus aureus, Klebsiella pneumoniae, Anopheles maltophilia bacteria, Escherichia coli and Enterobacter cloacae. Long length of stay in hospital, long-term combination of broad-spectrum antibiotics, immunosuppressive agents and the combined application of the basis of the disease are risk factors for drug-resistant infections.2. In real evil, the more resistant group to stop lung phlegm, Phlegm Phlegm, thermal subsidence Pericardium Syndromes three most important symptoms in the control group in order to heat-type symptoms Lung Yu heaviest drinking water Ling heart, God sputum obsessed fans evidence-based comparison of two groups of no difference. Is false, the more resistant group to spleen and kidney deficiency, kidney-yin deficiency of liver, lung and kidney deficiency type symptoms of the three most important card, no difference in heart-type of kidney-yang deficiency. Show that the multi-drug resistant infections and is being qi deficiency evil advantage is related to numerousRespiratory infections with multiple drug-resistant severe, long-duration, high mortality, the combined basis of the characteristics of disease and more. The main pathogen is Pseudomonas aeruginosa, Acinetobacter baumannii, Staphylococcus aureus, Klebsiella pneumoniae, Anopheles maltophilia bacteria, Escherichia coli and Enterobacter cloacae. Long length of stay in hospital, long-term combination of broad-spectrum antibiotics, immunosuppressive agents and the combined application of the basis of the disease are risk factors for drug-resistant infections.